06D1007382 CLIA NUMBER - ALL IN FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 06D1007382

Facility Name: ALL IN FAMILY MEDICINE

Facility Address:
7610 N UNION BLVD, SUITE 140
COLORADO SPRINGS, CO
ZIP 80920
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Facility Phone Number: 719 550-1172

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1275142390

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	06D1007382
LAB Type	Practitioner Other
Facility Name	ALL IN FAMILY MEDICINE
Street	7610 N UNION BLVD, SUITE 140
City	COLORADO SPRINGS
State	CO
ZIP	80920
Phone	719 550-1172
CertificateType	4
CertificateEffectiveDate	12/16/2022
CertificateExpirationDate	12/15/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024